From: Thoracic surgery in the non-intubated spontaneously breathing patient
Author | Year | Study type | Analgesia | No. of Pts. | Results | Diagnostic yield (%) |
---|---|---|---|---|---|---|
Pompeo et al. [19] | 2013 | PFS | EC: 20 IB: 10 | NIVATS: 30 | Technical feasibility correlated with DLCO Excellent in 20 Good in 9 Satisfactory in 1 Postoperative morbidity 3.3% | 97 |
Peng et al. [84] | 2017 | CS | LA | NIVATS: 43 | Chest tube removal on operating table Postoperative morbidity: 7%, no death | 88.4 |
Pompeo et al. [83] | 2019 | CS (MC) | IB: 84 EC: 28 | NIVATS: 112 | Perioperative morbidity: 7.1%, no death Mean hospital stay: 2.5Â days | 96 |
Kurihara et al. [26] | 2020 | CS | EC | NIVATS: 15 DLT-VATS: 29 | Reduced surgical time in NIVATS: 32.5 vs. 50.8 (min) Shorter length of hospital stay in NIVATS: 1 vs. 10 (days) Significant more ILD worsening in DLT-VATS group (one death) | 100 |
Kim et al. [87] | 2020 | REV (3 studies) | 1. EC: 20 1. IB: 20 2. IV: 43 3. EC: 10 | 1. NIVATS: 40 2. NIVATS: 43 3. NIVATS: 10 | EC/IB mainly used for pain control IB has benefit in operation time and hospital stay Low morbidity rates: 3.3–7.0% | 82.5–100 |
Guerrera et al. [82] | 2021 | PSM | EC + LA | NIVATS: 66 DLT-VATS: 34 | Lower postoperative morbidity in NIVATS 3.0% vs. 20.6% Shorter length of hospital stay in NIVATS 3.1 vs. 6.7 (days) Reduced surgical time in NIVATS 38 vs. 77 (min) Reduced anaesthesiologic time in NIVATS 97 vs. 132 (min) | 73 |
Grott et al | 2022 | PSM | EC | NIVATS: 40 DLT-VATS: 40 | Faster postprocedural recovery after NIVATS Postoperative acute exacerbation of ILD similar between groups | 98.75 |